Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $56.41 / $94.02	Facility		$24.42	$56.41	$94.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $28.39 / $34.19	Professional		$15.10	$28.39	$34.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $88.89	Facility		$34.19	$34.19	$88.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $17.71 / $56.46	Professional		$10.28	$17.71	$56.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $34.19 / $34.19	Facility		$20.51	$34.19	$34.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $34.19 / $34.19	Professional		$24.96	$34.19	$34.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $69.25 / $218.47	Facility		$29.11	$69.25	$218.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $35.43 / $164.80	Professional		$24.26	$35.43	$164.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $50.17 / $332.00	Facility		$29.00	$50.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $20.51 / $62.57	Professional		$13.68	$20.51	$62.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $33.04 / $41.09	Professional		$28.50	$33.04	$41.09
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Professional		$22.22	$22.22	$22.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $37.03 / $92.61	Facility		$22.76	$37.03	$92.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $83.43 / $254.50	Facility		$31.33	$83.43	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $34.19 / $70.43	Professional		$25.32	$34.19	$70.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.01 / $50.22	Professional		$14.36	$18.01	$50.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $39.32 / $85.65	Facility		$39.32	$39.32	$85.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.26 / $41.88	Professional		$28.50	$35.26	$41.88